How much rates vary
Facilitymedian $214 · 10th to 90th $95 to $513Professionalmedian $126 · 10th to 90th $81 to $661
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $93.33 Median $104.71 Typical High $177.83 | Facility | None | $93.33 | $104.71 | $177.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $28.84 Median $30.90 Typical High $44.67 | Facility | 26 · Professional part | $28.84 | $30.90 | $44.67 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $70.79 Typical High $128.82 | Facility | TC · Technical part | $64.57 | $70.79 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $100.00 Typical High $177.83 | Professional | None (both parts) | $87.10 | $100.00 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $29.51 Typical High $52.48 | Professional | 26 · Professional part | $26.92 | $29.51 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $69.18 Typical High $123.03 | Professional | TC · Technical part | $61.66 | $69.18 | $123.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $69.18 Median $75.86 Typical High $81.28 | Professional | None (both parts) | $69.18 | $75.86 | $81.28 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.11 Typical High $45.71 | Professional | 26 · Professional part | $23.44 | $33.11 | $45.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $138.04 Typical High $186.21 | Professional | None (both parts) | $89.13 | $138.04 | $186.21 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $46.77 Typical High $60.26 | Professional | 26 · Professional part | $31.62 | $46.77 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $77.62 Typical High $134.90 | Professional | TC · Technical part | $60.26 | $77.62 | $134.90 |
BCBS Kansas City Setting Facility Modifier None Typical Low $66.07 Median $93.33 Typical High $162.18 | Facility | None | $66.07 | $93.33 | $162.18 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $100.00 Median $107.15 Typical High $131.83 | Professional | None (both parts) | $100.00 | $107.15 | $131.83 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.11 Typical High $43.65 | Professional | 26 · Professional part | $32.36 | $33.11 | $43.65 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $74.13 Typical High $91.20 | Professional | TC · Technical part | $60.26 | $74.13 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $251.19 Typical High $467.74 | Facility | None | $158.49 | $251.19 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $89.13 Typical High $186.21 | Professional | None (both parts) | $72.44 | $89.13 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $29.51 Typical High $57.54 | Professional | 26 · Professional part | $21.88 | $29.51 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $60.26 Typical High $131.83 | Professional | TC · Technical part | $45.71 | $60.26 | $131.83 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $213.80 Typical High $575.44 | Facility | None | $102.33 | $213.80 | $575.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $107.15 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $107.15 | $660.69 | $660.69 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $30.90 | $218.78 | $218.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $457.09 Typical High $457.09 | Professional | TC · Technical part | $74.13 | $457.09 | $457.09 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $346.74 | Facility | None | $331.13 | $331.13 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $114.82 Typical High $190.55 | Professional | None (both parts) | $93.33 | $114.82 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $34.67 Typical High $60.26 | Professional | 26 · Professional part | $28.84 | $34.67 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $85.11 Typical High $134.90 | Professional | TC · Technical part | $63.10 | $85.11 | $134.90 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $46.77 Typical High $53.70 | Professional | 52 · Reduced service | $43.65 | $46.77 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $18.62 Typical High $21.38 | Professional | 53 · Discontinued | $17.78 | $18.62 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $74.13 Typical High $85.11 | Professional | FX · Film X-ray | $70.79 | $74.13 | $85.11 |
Where Missouri sits
The same service costs 4.2 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Missouri· 18th of 51
$126
AK $302UT $72.44
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.